Tuesday, April 9, 2013

CMS Issues Fact Sheet for Implementation Improvement Standard


On January 24, 2013 the U.S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo V. Sebelius.  The case involved skilled care being denied by contractors based on a rule-of thumb “Improvement Standard” – under which a claim would be summarily denied due to a beneficiary’s lack of restoration potential, even though the beneficiary did in fact require a covered level of skilled care in order to prevent or slow further deterioration in his or her clinical condition.

CMS agreed to the settlement agreement.  The language in the settlement agreement did not modify or expand existing eligibility requirements for receiving Medicare coverage. 

On April 4, 2013 CMS issued a fact sheet that describes their plans to conduct the following activities under the term of the settlement agreement.
1.     Clarifying Policy & Updating Program Manuals
2.     Develop an Education Campaign to inform stakeholders
3.     Preform a claims review to ensure beneficiaries are receiving care
CMS agrees to complete the manual revisions and educational campaign by January 23, 2014.

For more information please utilize the following link.
http://www.cms.gov/medicare/medicare-fee-for-service-payment/SNFPPS/downloads/jimmo-factsheet.pdf

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